# BAKER AMBULANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194951145
- **Authorized official:** MR. GREGG BAKER (OWNER/OPERATOR)
- **Authorized official phone:** (217) 246-5906

## Contact information

- **Practice address:** 109 N WALNUT, OAKLAND, IL 61943
- **Practice address phone:** (217) 246-5906
- **Mailing address:** PO BOX 711, OAKLAND, IL 61943-0711
- **Mailing address phone:** (217) 246-5906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2009
- **Last updated:** 06/04/2009